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适用于老年居家护理的个性化移动健康:益处与挑战的系统综述

Personalized Mobile Health for Elderly Home Care: A Systematic Review of Benefits and Challenges.

作者信息

Pahlevanynejad Shahrbanoo, Niakan Kalhori Sharareh R, Katigari Meysam Rahmani, Eshpala Rahil Hosseini

机构信息

Department of Health Information Technology, School of Allied Medical Sciences, Semnan University of Medical Sciences, Semnan, Iran.

Department of Health Information Management, School of Allied Medical Sciences, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Int J Telemed Appl. 2023 Jan 16;2023:5390712. doi: 10.1155/2023/5390712. eCollection 2023.

Abstract

Mobile health as one of the new technologies can be a proper solution to support care provision for the elderly and provide personalized care for them. This study is aimed at reviewing the benefits and challenges of personalized mobile health (PMH) for elderly home care. With a systematic review methodology, 1895 records were retrieved by searching four databases. After removing duplicates, 1703 articles remained. Following full-text examination, 21 articles that met the inclusion criteria were studied in detail, and the output was presented in different tables. The results indicated that 25% of the challenges were related to privacy, cybersecurity, and data ownership (10%), technology (7.5%), and implementation (7.5%). The most frequent benefits were related to cost-saving (17.5%), nurse engagement improvement (10%), and caregiver stress reduction (7.5%). In general, the number of benefits in this study was slightly higher than the challenges, but in order to use PMH technologies, the challenges presented in this study must be carefully considered and a suitable solution must be adopted. Benefits can also be helpful in persuading individuals and health-care providers. This study shed light on those points that need to be highlighted for further work in order to convert the challenges toward benefits.

摘要

移动健康作为新技术之一,可能是支持为老年人提供护理并为他们提供个性化护理的恰当解决方案。本研究旨在回顾个性化移动健康(PMH)在老年家庭护理中的益处和挑战。采用系统综述方法,通过检索四个数据库共检索到1895条记录。去除重复项后,剩余1703篇文章。经过全文审查,对21篇符合纳入标准的文章进行了详细研究,并将结果呈现于不同表格中。结果表明,25%的挑战与隐私、网络安全和数据所有权(10%)、技术(7.5%)以及实施(7.5%)有关。最常见的益处与成本节约(17.5%)、护士参与度提高(10%)以及护理人员压力减轻(7.5%)有关。总体而言,本研究中益处的数量略高于挑战,但为了使用PMH技术,必须仔细考虑本研究中提出的挑战并采取合适的解决方案。益处也有助于说服个人和医疗保健提供者。本研究阐明了为将挑战转化为益处而在进一步工作中需要突出强调的要点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69cc/9871396/accf3fcaf7da/IJTA2023-5390712.001.jpg

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